Active NPI
Elmer Gerald Brown Jr., FNP
- Family Nurse Practitioner
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18339
- Practice address
- 108 Montgomery Dr
Anderson, SC 29621-3334 - Phone
- (864) 225-5597
- Fax
- (864) 516-8984
- NPI assigned
- Aug 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 18339 | SC | |
| Family Nurse Practitioner | 363LF0000X | 18339 | SC | Primary |
Addresses
Primary practice location
108 Montgomery Dr
Anderson, SC 29621-3334
Mailing address
108 Montgomery Dr
Anderson, SC 29621-3334
Phone (864) 561-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140109000759 | SC | Practitioner - Nurse Practitioner | 2163650532 | Reassigns benefits to 8 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Current | Accepting new patients | |
| Keowee Primary Care & Internal Medicine PC | Current | Accepting new patients | |
| Superior Pain Management PC | Current | Accepting new patients | |
| Trinity Family Practice Anderson LLC | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Diagnostic Radiology of Anderson, P.a. | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Cannon Memorial Hospital | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Nurse Practitioner | Current | Accepting new patients |
| Medi Urgent Care Center Inc | Past | Accepting new patients |
Locations
1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
4144 Clemson Blvd
Anderson, SC 29621
Phone (864) 224-3332
800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131
108 Montgomery Dr
Anderson, SC 29621
Phone (864) 225-5597
885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530
111 W Roper Rd
Easley, SC 29640
Phone (864) 897-8280
21 S Shirley Ave
Honea Path, SC 29654
Phone (864) 369-0552
331 Antreville Hwy
Iva, SC 29655
Phone (864) 348-6122
105 Liberty Blvd
Liberty, SC 29657
Phone (864) 843-8500
123 Wg Acker Dr
Ste B
Pickens, SC 29671
Phone (864) 878-2435
109 Carter Park Dr
Ste 3A
Seneca, SC 29678
Phone (864) 882-1420
109 Carter Park Dr
#3A
Seneca, SC 29678
Phone (864) 885-0058
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Anderson, SC
- NPI 1811543879
SC
-
- Psychiatry Physician
- Anderson, SC
- NPI 1194750554
-
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
- Family Medicine Physician
- Pelzer, SC
- NPI 1538447172
-
- Family Medicine Physician
- Honea Path, SC
- NPI 1629025010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1669804647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 MONTGOMERY DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213334",
"telephone_number": "864-561-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 MONTGOMERY DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213334",
"telephone_number": "864-225-5597",
"fax_number": "864-516-8984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ELMER",
"middle_name": "GERALD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-01",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "SC",
"license": "18339",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.